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FOR OFFICE USE ONLY PERMIT# G (10 5—0 OZ <br /> BUILDING. .. ° PLANNING. . ., <br /> Bldg/TI/Addn/ rr Size //.S0 "C./4: Zoning Classification ,- <br /> Garage Size Overlay/Agreement <br /> VALUATION 7.0 DDc7 Nonresidential Use - <br /> Number of Stories / Residential Use <br /> Occupancy Group /` Proposed No.of Dwelling Units: -- <br /> Occupant Load Total No. of Dwelling Units: I <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection / <br /> Type of Construction `tz needed before final? Yes_ No •/, <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: -- <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved b Date: -,-.41,2_)I <br /> Existing Fire Alarm Yes_ No_Unk Historic Appr ved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo S ••• Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculated Sch•- mpact Fee: <br /> Architectural Approved By/Date: w/) /17 Schoo pact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: ,. . <br /> } <br /> Comments: Comments: NCB 1,--q— — 0 k,' :,, f�!�-� (t�' 'v <br /> Intake OK by: d//' u , , <br /> Intake OK,I41 Ok to route ✓• Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC-WORKS, <br /> FEES ; INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate gree fol er) r. <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: , Date: 2 7i22t <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee J PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works F e--.......\7— Th., FIREDEPARTMENT <br /> School Miti ation Fee Upda ew Sprinklers Yes_ No_ Existing Bldg_ <br /> N ‘Ni <br /> / Update/ Detection -Yes_ No_ Existing Bldg._ <br /> J' �� Update/New Ch ical Yes_ No_ Existing Bldg._ <br /> �p` , /New Fire ervice Yes_ No_ Existing Bldg. <br /> ( 1 ^� pproved b : Date: <br /> 9 '�•' Comments: <br />